Date : 00.00.00
Name of the Patient : Abc Xyzt Walmn / M / 25 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neck pain and pain in both shoulders since 1 1/2 years.
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
There is loss of normal cervical curvature.
The cervical intervertebral discs except for the C2-C3 disc show loss of water content.
Small posterior disc herniations with peridiscal osteophytes are seen at the C4-C5, C6-C7 and C7-D1 levels with anterior indentation of the thecal sac.
There is anticlockwise rotation of the C1 over the C2 vertebra.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Note is made of subcentimeter lymphnodes in the deep cervical chain bilaterally.
The MRI features are suggestive of small posterior disc herniations with peridiscal osteophytes at the C4-C5, C6-C7 and C7-D1 levels.